Aj'S Transitional Living, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AJ'S TRANSITIONAL LIVING, LLC

Practice address

7300 W Lake Dr
Lake Clarke Shores, FL 33406-6722

Phone

(954) 746-8232

Fax

(954) 746-8231

NPI assigned

Jul 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Smith

Title

Billing Department

Phone

(954) 746-8232

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1679914816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 FOREST HILL BLVD",
            "address_2": "SUITE 10A-193",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146256",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W LAKE DR",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066722",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ'S TRANSITIONAL LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "954-746-8232"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oyola Caridad Abad Delgado, M.S., BCBA
• Angelica Caridad Alarcon
• Sabir Alim, CAP
• Amazing Grace Assisted Living Home III LLC
• Yida M Bello, MA 54498
• Glorymar Birkeland, MS

• Substance Use Disorder Rehabilitation Clinic/Center in Lake Clarke Shores, FL
• Providers in Lake Clarke Shores, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.